Maternal morbidity and near miss associated with maternal age: the innovative approach of the 2006 Brazilian demographic health survey
Clinics
; Clinics;68(7): 922-927, jul. 2013. tab
Article
em En
| LILACS
| ID: lil-680713
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVE:
To study the prevalence of potentially life-threatening maternal conditions and near miss in Brazil according to maternal age.METHODS:
A secondary analysis of the 2006 Brazilian demographic health survey database using a validated questionnaire to evaluate maternal morbidity with a focus on age extremes. The study included 5,025 women with at least 1 live birth in the 5-year reference period preceding their interviews. Three age range periods were used 15-19 years (younger age), 20-34 years (control), and 35-49 years (advanced maternal age). According to a pragmatic definition, any woman reporting eclampsia, hysterectomy, blood transfusion, or admission to the intensive care unit during her pregnancy/childbirth was considered a near-miss case. The associations between age and severe maternal morbidity were further assessed.RESULTS:
For the 6,833 reported pregnancies, 73.7% of the women were 20-34 years old, 17.9% were of advanced maternal age, and only 8.4% were of younger age. More than 22% of the women had at least one of the complications appraised, and blood transfusion, which was more prevalent among the controls, was the only variable with a significant difference among the age groups. The overall rate of maternal near miss was 21.1 per 1000 live births. There was a trend of higher maternal near miss with increasing age. The only significant risk factor identified for maternal near miss was a lower literacy level among older women.CONCLUSIONS:
There is a trend towards worse results with increasing age. The investigation of the determinants of maternal near miss at the community level using an innovative approach through a demographic health survey is an example suggested for under-resourced settings. .Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Complicações na Gravidez
/
Mortalidade Materna
/
Idade Materna
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Clinics
/
Clinics (Online)
/
Clinics (Sao Paulo)
/
Clinics (Sao Paulo. Impresso)
Assunto da revista:
MEDICINA
Ano de publicação:
2013
Tipo de documento:
Article
/
Project document